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| Responsible Owner: Orders and Observations Work Group | Standards Status : Informative | Compartments : Device , Encounter , Group , Patient , Practitioner , RelatedPerson |
Raw XML ( canonical form + also see XML Format Specification )
Real-world patient - estimated gfr (id = "f205")
<?xml version="1.0" encoding="UTF-8"?>: Glomerular filtration rate/1.73 sq M.predicted [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD) (Details : {LOINC code '33914-3' = 'Glomerular filtration rate/1.73 sq M.predicted by Creatinine-based formula (MDRD)', given as 'Glomerular filtration rate/1.73 sq M.predicted [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD)'}): interpretation of results should be assigned based upon the level of kindey function : GFR estimating equations developed by the Modification of Diet in Renal Disease (MDRD) Study Group and the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI)....(Details : {SNOMED CT code '702668005' = 'Modification of diet in renal disease formula', given as 'MDRD'}): Glomerular filtration rate/1.73 sq M predicted among blacks [Volume Rate/?Area] in Serum or Plasma by Creatinine-based formula (MDRD) (Details : {LOINC code '48643-1' = 'Glomerular filtration rate/1.73 sq M predicted among blacks by Creatinine-based formula (MDRD)', given as 'Glomerular filtration rate/1.73 sq M predicted among blacks [Volume Rate/?Area] in Serum or Plasma by Creatinine-based formula (MDRD)'}): Glomerular filtration rate/1.73 sq M predicted among non-blacks [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD) (Details : {LOINC code '48642-3' = 'Glomerular filtration rate/1.73 sq M predicted among non-blacks by Creatinine-based formula (MDRD)', given as 'Glomerular filtration rate/1.73 sq M predicted among non-blacks [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD)'}) Glomerular filtration rate/1.73 sq M.predicted [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD) <!-- no value element since have only component values and unable to interpret results needs clinical interpretation --> GFR estimating equations developed by the Modification of Diet in Renal Disease (MDRD) Study Group and the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI).... <!-- The MDRD equation does require race (African American or non-African American), which also might not be readily available. For this reason, eGFR values for both African Americans and non-African Americans are reported. so use component elements here --> Glomerular filtration rate/1.73 sq M predicted among blacks [Volume Rate/?Area] in Serum or Plasma by Creatinine-based formula (MDRD) Glomerular filtration rate/1.73 sq M predicted among non-blacks [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD)<Observation xmlns="http://hl7.org/fhir"> <id value="f205"/> <identifier> <system value="https://intranet.aumc.nl/labvalues"/> <!-- Does not exist --> <value value="1304-03720-eGFR"/> </identifier> <!-- eGFR was measured on April fourth --> <status value="final"/> <code> <!-- Kind of observation = eGFR --> <coding> <system value="http://loinc.org"/> <code value="33914-3"/> <display value="Glomerular filtration rate [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD)/1.73 sq M"/> </coding> </code> <subject> <reference value="Patient/f201"/> <display value="Roel"/> </subject> <issued value="2013-04-04T14:34:00+01:00"/> <performer> <reference value="Practitioner/f202"/> <display value="Luigi Maas"/> </performer> <!-- no value element since have only component values and unable to interpret results needs clinical interpretation --> <interpretation> <text value="interpretation of results should be assigned based upon the level of kindey function"/> </interpretation> <note> <text value="GFR estimating equations developed by the Modification of Diet in Renal Disease (MDRD) Study Group and the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI)...."/> </note> <!-- The observation is complete --> <!-- No reliability concerns --> <method> <!-- Method was MDRD --> <coding> <system value="http://snomed.info/sct"/> <code value="702668005"/> <display value="MDRD"/> </coding> </method> <!-- The MDRD equation does require race (African American or non-African American), which also might not be readily available. For this reason, eGFR values for both African Americans and non-African Americans are reported. so use component elements here --> <component> <code> <!-- Kind of observation = eGFR for AA --> <coding> <system value="http://loinc.org"/> <code value="48643-1"/> <display value="Glomerular filtration rate [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)/1.73 sq M among black population"/> </coding> </code> <valueQuantity> <!-- eGFR=54mL/min/1.73m2 --> <value value="60"/> <comparator value=">"/> <unit value="mL/min/1.73m2"/> <system value="http://unitsofmeasure.org"/> <code value="mL/min/{1.73_m2}"/> </valueQuantity> <referenceRange> <low> <value value="60"/> <unit value="mL/min/1.73m2"/> <system value="http://unitsofmeasure.org"/> <code value="mL/min/{1.73_m2}"/> </low> <appliesTo> <text value="non-black/african-american"/> </appliesTo> <age> <low> <value value="18"/> <unit value="yrs"/> <system value="http://unitsofmeasure.org"/> <code value="a"/> </low> </age> </referenceRange> </component> <component> <code> <!-- Kind of observation = eGFR for non AA --> <coding> <system value="http://loinc.org"/> <code value="48642-3"/> <display value="GFR/BSA pr.non blk SerPlBld MDRD-ArV"/> </coding> </code> <valueQuantity> <!-- eGFR=54mL/min/1.73m2 --> <value value="60"/> <unit value="mL/min/1.73m2"/> <system value="http://unitsofmeasure.org"/> <code value="mL/min/{1.73_m2}"/> </valueQuantity> <referenceRange> <low> <value value="60"/> <unit value="mL/min/1.73m2"/> <system value="http://unitsofmeasure.org"/> <code value="mL/min/{1.73_m2}"/> </low> <age> <low> <value value="18"/> <unit value="yrs"/> <system value="http://unitsofmeasure.org"/> <code value="a"/> </low> </age> </referenceRange> </component> </ Observation >
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.
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R6
hl7.fhir.core#6.0.0-ballot3
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QA
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